Commander David Lazar
• The Healthy Street Operations Center(HSOC) has been developed
to better coordinate the many city agencies involved in
addressing homelessness and unhealthy street behaviors
• HSOC is structured as a unified command with representatives of
City departments all in one room which direct, plan, and
coordinate responses to street behaviors and homelessness
• HSOC was activated on Tuesday, January 16th, 2018.
• HSOC is an expansion of coordinated efforts that began in San
Francisco's Mission District.
HSOC Mission & Values
• HSOC's Mission is to provide unified
and coordinated city services and
responses to unsheltered persons
• HSOC Core Values
• Lead with compassion and respect
• Empathize with the whole community
• Believe that everyone can change ad
that safe and clean streets can be
AGENCY ROLES AND RESPONSIBILITIES
• SF Department of HSH- Outreach,
engagement, and placement of
• SFDPH- Outreach, harm reduction
strategies, syringe cleanup and
engagement, and health treatment
homeless and housed individuals
; requiring care in street settings.
• SFPD- Engagement and enforcement
(as a last resort) to respond to
• SF Public Works- Cleaning and
implementation of environmental
• SF Controller's Office- Provides
performance tracking of the
Healthy Streets Operation center.
* SF 3-1-1- Provides non-emergency
intake of homeless-related issues
from the public
* SF DEM- Provides operational and
logistical support for HSOC.
OF FM Ffl OF N [ f MANAGEMENT
Department of Public Health
ICS Roles at HSOC
* Incident Commander- leads efforts in all involved agencies.
* Operations Section Chief- Develops and implements strategies and tactics to carry out the HSOC
mission and objectives.
* Section Chief for Admin- Conducts data tracking and dash boarding for HSOC operations including
collection of operational data from primary responding HSOC departments to report HSOC
actions and impact.
* Planning Section Chief- Responsible for the collection, evaluation and distribution of HSOC
information for the IC/Unified Commander. (Breakout meetings at 0930 and 1430 hours)
* Operations Support as Public Safety-File arrest reports from homeless units, track tents seized as
evidence and run the day to day operations at HSOC.
* Public Health Rep- Develop understanding and common operating picture of services offered by
DPH for homeless individuals including creating/updating summary of these services.
* HSOC Liaison officer- Liaison officer interacts with the city and external partners as well as elected
officials and the HSOC Policy Group.
Goals & Objectives/
• Goal 1: SF s Streets are safe and clean
• Objectives- reduced incidents leading to
service requests, reduce drug-related and
criminal activity in priority areas,
eliminate tents and prevent re¬
encampment, and reduce environmental
• Goal 2: Meet the shelter and service
needs of individuals on the streets
• Objectives- connect homeless individuals
in priority areas with shelter, supportive
services, and increase non-emergency
service acceptance by high utilizer of
multiple systems within priority areas.
Strategies & Activities
* Strategy 1:
• Develop zone-based plans to identify key issues
impacting each zone, tactics to address the issues,
and performance measures to monitor
• Use proactive team-based approaches and continue
to respond to calls or issues based on standard
* Strategy 2:
* Focus on addressing needs of the "Top 20"
individuals with high needs.
* Train officers on issues associated with
homelessness and substance abuse
• Continue to outreach, engage and offer treatment
Goals & Objectives/
* Goal 3: Establish a unified city
response to homelessness and street
• Objectives: Develop efficient means to
manage calls for service and prioritize
resources. Effectively share information and
coordinate resources across participating City
Strategies & Activities
• Strategy/Activity 3:
* Co-located and coordinated dispatch
functions to share information and
coordinate resources and deployment
across departments. (DEM, DPW)
* Enhance public communication about the
City s response to homelessness and
* Use data to inform operation and policy-
level decisions of HSOC.
* Departments coordinate daily to solve
operational challenges associated with
* streamlined response by utilizing 311 vs.
calling the police
Organizational response flow to calls for service
1. City receives 3-1-1 non¬
emergency and 9-1-1
emergency calls for service
t .3 .'- L i ■-'
2. HSOC triages and dispatches non¬
emergency calls to one or more
departments based on response criteria
3. HSOC closes call for service
communicating actions and
outcomes of the response
police j ;
HSH triages to
DPH as needed
Community Health Response
Team, Street Medicine, Crisis
Intervention, and/or Felton
Specialists deploy as needed
• Hours 07-1500, Mon-Fri
• 1 Lt, 1 Inspector, 2 Officers, 1 non-
sworn, 1 cadet, 1 intern.
• Team 1/6 Mon-Thu, 06-1600
supplemented by district 70 units.
• Focused on encampment
• Meeting with officers every
Wednesday at 1100
• Triage 3-1-1 calls in the Mission
• Specialized radio channel
• Hours 07-2300, 7 days a week
• 1 Lt, 1 Inspector, 2 Officers, 1 non-sworn,
1 cadet, 1 intern
• Team 4/24 06-1600 or 1400-2400
• ocused on encampment resolution
• Meeting with officers every Wednesday
• Beginning on 8/8 all 3-1-1 encampment
calls triaged and assigned.
• Schedule/calendar 1 large operation per
• Specialized radio channel
Homeless Outreach Officers
• Participate in weekly Wednesday training meetings
o Past topics have included: Training on Shigella, Narcan, Syringe Disposal,
Homeward Bound Program, Mental Illness, LEADS presentation, Chronic
substance abuse, referrals for navigation center, and street medicine.
• Trained in force de-escalation tactics and Crisis Intervention fCIT").
• Multidisciplinary team concept.
• Calendar for planned operations.
• Maintenance of statistics.
• Conduct customer service call backs.
Why Resolve Large encampments?
1. Higher levels of substance abuse and
communicable disease in large
2. Increase in public health and public safety
concerns in and around the encampment.
3. Public outrage impacts City's ability to
4. Previous attempts to address
encampments failed and let to lawsuits,
reducing confidence in the city.
1. Assist as many people as possible by
connecting them to shelter, services and
2. Address quality of life issues for housed
and unhoused individuals.
3. Change culture on streets to permanently
eliminate large, long term encampments
4. Focus on effectiveness, legality and
compassion while not redirecting entire
service delivery system.
* Walk through with Public Works to assess safety and
• Coordinate with neighbors on prevention (fencing,
* Providing neighbors contact information for key city
* Ongoing re-encampment prevention team (outreach
workers, police and public works)
• Healthy Streets email
• SFPD Department Bulletin 18-137, "Legal
Enforcement Options for Addressing Illegal
WE VALUE AND RESPECT EACH OTHER AND OUR COMMUNITY
• Please do not sei up permanent tents or
• Please limit your belongings do not
block doorways or driveways
• Please keep streets and sidewalks clear
so people, wheelchairs, strollers, bikes
and cars may pass
• No ftres, candies, stoves or heats rs-
irvey are very dangerous! Battery
operated fights are ssler
• Salely dispose of used syringes in
• Protect your pets keep diem on leash
• Please keep your surroundings neat
• Please move your belongings whan the
City comes to dean or rnake repairs
• Pfeast throw away trash in garbage
eeutonwrs and ctan up after pets
IF YOU NEED ASSISTANCE OR
A NEIGHBOR NEEDS HELP
• For a medical or mental health
emergency, call 911
■ For shelter information, call 311
• For information about senices,
call SF HOT, 415 365 7SB0
• Be prepared and cany Mmm n
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Community Engagement Division